Individual
NICOLE CARNAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1045 12TH AVE, EAST MOLINE, IL 61244-1474
(586) 846-0922
Mailing address
1045 12TH AVE, EAST MOLINE, IL 61244-1474
(586) 846-0922
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/25/2015
Last updated
02/20/2026
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